耳硬化症影像学分型与临床听力的相关性研究

任远; 王凯; 章菊琴

doi:10.13201/j.issn.1001-1781.2018.03.010

耳硬化症影像学分型与临床听力的相关性研究

- 1. 宁波市医疗中心李惠利东部医院耳鼻咽喉头颈外科(浙江宁波, 315040);
- 2. 宁波市医疗中心李惠利医院耳鼻咽喉头颈外科

详细信息

通讯作者: 王凯,E-mail:wangkai_nb1973@126.com

中图分类号: R764.32

收稿日期: 2017-10-21

The correlation between radiological classification and clinical audiometry in otosclerosis

- 1. Department of Otorhinolaryngology Head and Neck Surgery, Lihuili Eastern Hospital of Ningbo Medical Center, Ningbo, 315040, China;
- 2. Department of Otorhinolaryngology Head and Neck Surgery, Lihuili Hospital of Ningbo Medical Center

More Information

Corresponding author: WANG Kai, E-mail: wangkai_nb1973@126.com

Received Date: 21 October 2017

摘要

摘要: 目的：研究耳硬化症的HRCT影像学分型与临床听力表现及手术治疗效果之间的相关性。方法：收集2013-01-2017-07经我科诊断并手术治疗的33例（66耳）耳硬化症患者，其中42耳接受Fisch人工镫骨技术治疗；术前行横断位HRCT扫描，并根据影像中病变累及的范围进行分型；于术前及术后6个月行纯音测听。结果：42耳术后气导和骨导听阈较术前有明显降低（P<0.01）；而窗孔型耳硬化症患者骨导听阈与混合型耳硬化症患者骨导听阈无论在术前还是术后均有差异（P<0.01）。结论：人工镫骨技术在提高耳硬化症患者听力方面效果显著，而且术后患者骨导听阈亦可有不同程度提高。
- 耳硬化症 /
- 镫骨小窗术 /
- HRCT /
- 纯音听阈
Abstract: Objective: The aim of this study is to explore the correlation between radiological classification on HRCT and effects on surgery with hearing improvement in otosclerosis.Method: Thirty three patients (66 ears) with otosclerosis were enrolled to this study, who would be done operation using Fischs stapes surgery technique. All patients were classified according to axial HRCT preoperatively. All patients were evaluated by pure tone test preoperatively and 6 months postoperatively. Correlation between radiological classification and hearing effects were studied.Result: Six months after the surgeries, both of air conduction thresholds and bone conduction thresholds in 33 patients were significantly improved than those before the surgeries (P<0.01). Compared with mixed type otosclerosis, window type otosclerosis had significantly lower bone conduction threshold preoperatively and postoperatively.Conclusion: Fischs stapes surgery technique have perfect effects on improving otosclerosis air conduction threshold, as well as bone conduction threshold.
- otosclerosis /
- Fisch's stapes surgery /
- HRCT /
- pure tone hearing threshold

HTML全文

参考文献(8)

[1]	郝欣平, 陈树斌, 于子龙, 等.200例耳硬化症手术患者临床特征分析[J].临床耳鼻咽喉头颈外科杂志, 2017, 31(20):1545-1547.
[2]	郝欣平, 陈树斌, 于子龙, 等.耳道内径路激光辅助下微创镫骨手术治疗耳硬化症的临床研究[J].临床耳鼻咽喉头颈外科杂志, 2016, 30(5):353-356.
[3]	陈光兴, 刘军泉, 刘国文.多层螺旋CT在耳硬化症中的诊断价值[J].现代医用影像学, 2016, 25(1):62-64.
[4]	邓白茹, 陈燕萍, 易云平, 等.耳硬化症的HRCT征象分析[J].医学影像学杂志, 2015, 25(4):604-607.
[5]	KARACA S, BASUT O, DEMIR U L, et al.Comparison of Videonystagmography and Audiological Findings after Stapedotomy;CO₂ Laser vs Perforator[J].J Int Adv Otol, 2016, 12:152-155.
[6]	SAKAMOTO T, KIKUTA S, KIKKAWA Y S, et al.Differences in Postoperative Hearing Outcomes and Vertigo in Patients with Otosclerosis Treated with Laser-Assisted Stapedotomy versus Stapedectomy[J].ORL J Otorhinolaryngol Relat Spec, 2015, 77:287-293.
[7]	梁海荣, 虞幼军, 林枫.半导体激光辅助Fisch人工镫骨技术治疗耳硬化症效果观察[J].白求恩医学杂志, 2016, 14(4):429-431.
[8]	MIYAMAE R, NISHIMURA T, HOSOI H, et al.Perception of speech in cartilage conduction[J].Auris Nasus Larynx, 2017, 44:26-32.